The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Mar 2014
Rates of concussion are lower in National Football League games played at higher altitudes.
Retrospective epidemiologic investigation. ⋯ Prognosis, level 2c.
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J Orthop Sports Phys Ther · Feb 2014
Randomized Controlled Trial Comparative StudyImmediate effects of 2 types of braces on pain and grip strength in people with lateral epicondylalgia: a randomized controlled trial.
Repeated-measures, crossover, double-blinded randomized controlled trial. ⋯ Both types of counterforce braces had an immediate positive effect in participants with lateral epicondylalgia, without differences between interventions and similar to a no-brace control condition. Therefore, while the use of a brace may be helpful in managing immediate symptoms related to lateral epicondylalgia, the choice of which brace to use may be more a function of patient preference, comfort, and cost. Further research is required to investigate the comparative longer-term and clinical effects of the 2 braces.
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J Orthop Sports Phys Ther · Feb 2014
Randomized Controlled Trial Comparative StudyExercise only, exercise with mechanical traction, or exercise with over-door traction for patients with cervical radiculopathy, with or without consideration of status on a previously described subgrouping rule: a randomized clinical trial.
Randomized clinical trial. ⋯ Adding mechanical traction to exercise for patients with cervical radiculopathy resulted in lower disability and pain, particularly at long-term follow-ups. The study protocol was registered at http://clinicaltrials.gov (NCT00979108).
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J Orthop Sports Phys Ther · Feb 2014
ReviewClinical rehabilitation guidelines for matrix-induced autologous chondrocyte implantation on the tibiofemoral joint.
Autologous chondrocyte implantation (ACI) has become an established technique for the repair of full-thickness chondral defects in the knee. Matrix-induced ACI (MACI) is the third and current generation of this surgical technique, and, while postoperative rehabilitation following MACI aims to restore normal function in each patient as quickly as possible by facilitating a healing response without overloading the repair site, current published guidelines appear conservative, varied, potentially outdated, and often based on earlier ACI surgical techniques. This article reviews the existing evidence-based literature pertaining to cell loading and postoperative rehabilitation following generations of ACI. Based on this information, in combination with the technical benefits provided by third-generation MACI in comparison to its surgical predecessors, we present a rehabilitation protocol for patients undergoing MACI in the tibiofemoral joint that has now been implemented for several years by our institution in patients with MACI, with good clinical outcomes.
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J Orthop Sports Phys Ther · Feb 2014
Case ReportsTrigger point dry needling as an adjunct treatment for a patient with adhesive capsulitis of the shoulder.
Case report. ⋯ This case report describes the clinical reasoning behind the use of trigger point dry needling in the treatment of a patient with adhesive capsulitis. The rapid improvement seen in this patient following the initiation of dry needling to the upper trapezius, levator scapula, deltoid, and infraspinatus muscles suggests that surrounding muscles may be a significant source of pain in this condition.